<fieldset>
<table width='100%' class="globaltable globaltable-striped globaltable-bordered globaltable-condensed">
  <tr>
    <td colspan="10" class='table_bar'>Personal Information </td>
    </tr>
  <tr>
    <td width='15%' class='table_student_td_font'>Name</td>
    <td colspan="5"><input type="text" name="student_name" size="75"></td>
    <td colspan="4" rowspan="6">&nbsp;</td>
  </tr>
  <tr>
    <td class='table_student_td_font'>Roll No.</td>
    <td colspan="3"><input type="text" name="student_id" size="22"></td>
    <td><span class="table_student_td_font">Sessions</span></td>
    <td><input type="text" name="academic_session" size="15"/></td>
  </tr>
  <tr>
    <td class='table_student_td_font'>Mother Tongue</td>
    <td colspan="3"><input type="text" name="mather_lang" size="22"></td>
    <td ><span class="table_student_td_font">Birth Date</span></td>
    <td><input type="text" name="dob" size="15" /></td>
  </tr>
  <tr>
    <td class='table_student_td_font'>Father's Name </td>
    <td colspan="5"><input type="text" name="fathername" size="75"></td>
  </tr>
  <tr>
    <td >Mother's Name</td>
    <td colspan="5"><input type="text" name="mothername" size="75"></td>
  </tr>
  <tr>
    <td><span class="table_student_td_font">Admission Date </span></td>
    <td colspan="5"><input type="text" name="dateofadmission" size="29"></td>
  </tr>
  
  <tr>
    <td colspan='10' class='table_bar'>Address</td>
  </tr>
  <tr>
    <td class='table_student_td_font'>Present</td>
    <td colspan='9'><input type="text" name="presentaddress" size="100"></td>
  </tr>
  <tr>
    <td class='table_student_td_font'>Permanent</td>
    <td colspan='9'>&nbsp;</td>
  </tr>
  
  
  <tr>
    <td class='table_student_td_font'>Tel. Res. </td>
    <td colspan='3' ><input type="text" name="phone_reg" size="22"></td>
    <td >Off.</td>
    <td colspan="5" ><input type="text" name="phone_off" size="22"></td>
  </tr>
  
  
  <tr>
    <td colspan="10" class='table_bar'>Education</td>
  </tr>
  <tr>
    <td class='table_student_td_font'>S.S.C. Board </td>
    <td><input type="text" name="ssc_board" size="15"></td>
    <td class='table_student_td_font'>Year</td>
    <td><input type="text" name="ssc_year" size="8" ></td>
    <td class='table_student_td_font'>Group</td>
    <td><input type="text" name="ssc_group" size="10"></td>
    <td class='table_student_td_font'>Reg. No. </td>
    <td ><input type="text" name="ssc_reg_no" size="8"></td>
    <td class='table_student_td_font'>Year</td>
    <td><input type="text" name="ssc_reg_year" size="8"></td>
  </tr>
  <tr>
    <td class='table_student_td_font'>Centre</td>
    <td colspan='3'><input type="text" name="ssc_centre" size="40"></td>
    <td class='table_student_td_font'>Roll</td>
    <td><input type="text" name="ssc_roll" size="10"></td>
    <td class='table_student_td_font'>GPA</td>
    <td><input type="text" name="ssc_gpa" size="8"></td>
    <td class='table_student_td_font'>Opt.</td>
    <td><input type="text" name="ssc_opt" size="8"></td>
  </tr>
  <tr>
    <td >School</td>
    <td colspan='9'><input type="text" name="ssc_school" size="75"></td>
  </tr>
  <tr>
    <td >H.S.C. Board </td>
    <td><input type="text" name="hsc_board" size="15"></td>
    <td >Year</td>
    <td><input type="text" name="hsc_year" size="8"></td>
    <td >Group</td>
    <td><input type="text" name="hsc_group" size="10"></td>
    <td >Reg. No. </td>
    <td><input type="text" name="hsc_reg_no" size="8"></td>
    <td >Year</td>
    <td><input type="text" name="hsc_reg_year" size="8"></td>
  </tr>
  <tr>
    <td >Centre</td>
    <td colspan="3"><input type="text" name="hsc_centre" size="40"></td>
    <td >Roll</td>
    <td><input type="text" name="hsc_roll" size="10"></td>
    <td >GPA</td>
    <td><input type="text" name="hsc_gpa" size="8"></td>
    <td >Opt.</td>
    <td><input type="text" name="hsc_opt" size="8"></td>
  </tr>
  <tr>
    <td colspan="2" >H.S.C. Exam. Medium</td>
    <td colspan="2" ><input type="text" name="Input" size="20"></td>
    <td >&nbsp;</td>
    <td >&nbsp;</td>
    <td colspan='2' >&nbsp;</td>
    <td colspan='2'>&nbsp;</td>
  </tr>
  <tr>
    <td >Transfer No</td>
    <td><input type="text" name="transfer_no" size="15"></td>
    <td >Date</td>
    <td><input type="text" name="trans_date" size="10"></td>
    <td >Dropped</td>
    <td ><input type="text" name="dropped" size="10"></td>
    <td colspan='2' >Date</td>
    <td colspan='2'><input type="text" name="drop_date" size="10"></td>
  </tr>
  <tr>
    <td colspan="2">Co-curricular Activities</td>
    <td colspan="8"><input type="text" name="co_cur_activities" size="90" /></td>
  </tr>
</table>
          
          <div class="form-actions">
            <button class="btn btn-primary" type="submit">Save changes</button>
            <button class="btn" type="reset">Cancel</button>
          </div>
        </fieldset>